What are the harmful effects of oxytocin

What are the harmful effects of oxytocin

Everyone knows that if the fetus in the mother's belly is still motionless when the due date comes, some methods are needed to induce the birth of the baby. Oxytocin is one of the methods. Although this is a method, many people still have some doubts about it. The main question is whether it will affect the fetus. Oxytocin may cause fetal asphyxia. Do you want to know what are the harmful effects of oxytocin?

The first oxytocin risk

Oxytocin has fewer adverse reactions, allergic reactions rarely occur, and nausea, vomiting, and low blood pressure may occur occasionally. Large doses can cause tonic contraction of the uterus, compress the blood vessels of the uterine muscle layer, block blood flow to the placenta, and cause fetal suffocation or uterine rupture. Therefore, the dosage and intravenous drip rate must be strictly controlled. Oxytocin is contraindicated in patients who are allergic to oxytocin, multiparous women with more than three children (prone to uterine rupture), patients with transverse position, narrow pelvis, obstructed birth canal, obvious cephalopelvic disproportion and abnormal fetal position, umbilical cord presentation or prolapse, complete placenta previa, vasa previa, fetal distress, excessive uterine contractions, obstetric emergencies requiring immediate surgery, or patients with uterine atony who have not responded to long-term medication.

Second note

1. When used to induce labor, the indications must be clear to avoid danger to the mother and fetus.

2. During intravenous infusion, a drip rate regulator should be used to control the dosage. The drip rate should be determined according to the patient's specific condition.

3. In case of uterine atony, the injection time should not exceed 6 to 8 hours.

4. Use with caution in the following situations: abortion caused by termination of pregnancy with hypertonic saline, placental abruption, severe pregnancy-induced hypertension syndrome, heart disease, critical cephalopelvic disproportion, an enlarged uterus, a history of intrauterine infection, a history of dystocia due to damage, surgical treatment of the uterus or cervix (including a history of cesarean section), cervical cancer, partial placenta previa, premature birth, unengaged fetal head, breech presentation, abnormal fetal position or presenting part of the fetus, and pregnant women over 35 years old.

5. The use of oxytocin during sacral canal block may cause severe hypertension or even cerebral vascular rupture.

6. Inspection and monitoring are required before and during medication: ① The frequency, duration and degree of uterine contractions; ② The pulse and blood pressure of pregnant women; ③ The fetal heart rate; ④ The uterine muscle tone during rest; ⑤ The maturity of the fetus; ⑥ The size of the pelvis and the descent of the fetal presenting part; ⑦ The balance of fluid intake and output, especially when oxytocin is used for a long time.

It is contraindicated for patients who are allergic to this product, multiparous women with more than three children (prone to uterine rupture), patients with transverse position, narrow pelvis, obstructed birth canal, obvious cephalopelvic disproportion and abnormal fetal position, umbilical cord presentation or prolapse, complete placenta previa, vasa previa, fetal distress, excessive uterine contractions, obstetric emergencies requiring immediate surgery, or patients with uterine atony who have not responded to long-term medication.

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